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COSTA MESA MEDICAL CLINIC NPI 1598902660


NPI Information

NPI: 1598902660
Provider Name: COSTA MESA MEDICAL CLINIC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

CLIA Number: 05D1072542

Address:
745 W 19TH ST STE F
COSTA MESA, CA
ZIP 92627
Phone: (949) 574-0210
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COSTA MESA MEDICAL CLINIC is a primary care clinic center in Costa Mesa, CA. COSTA MESA MEDICAL CLINIC NPI is 1598902660. The provider is registered as an organization entity type.

The provider's business location address is:

745 W 19TH ST STE F
COSTA MESA, CA
ZIP 92627-536
Phone: (949) 574-0210
Fax: (949) 574-0220

The provider's authorized official is Hitesh D. Patel .
The authorized official title is Medical Director and has the following contact phone number (949) 574-0210.

The CLIA number assigned to this NPI record is 05D1072542 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/12/2009 and was last updated on 1/12/2009.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QP2300XClinic/CenterPrimary CareYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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